Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miranda L Kopnisky, PA-C

Individual provider Physician Assistant · NPI 1578872255

Miranda L Kopnisky, PA-C is a Physician Assistant in Melrose, Massachusetts. Qualified in 2010, 16 years ago. Practices with Hallmark Health Urgent Care Physicians LLC, a 32-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
16
Licensed in
MA
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

585 Lebanon St
Melrose, MA 02176-3225
Phone: (781) 979-3635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA4046 (MA)

Record details

NPI number1578872255
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 29, 2010
Last updated in NPPESOctober 24, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Hallmark Health Urgent Care Physicians Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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